Impact of a Bridge Device on the Loop Ileostomy

NCT ID: NCT02756273

Last Updated: 2023-09-06

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

168 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-05-10

Study Completion Date

2023-10-02

Brief Summary

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During the creation of an ileostomy, a bridge device is systematically placed in an aim to reduce wound and peritoneal contamination by stools. Nevertheless no evidence was reported to justify this issue.

Moreover the placement of a bridge device increases the difficulty of nurse cares and is associated with its own morbidity.

Detailed Description

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Conditions

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Elective Colorectal Surgery

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

OTHER

Blinding Strategy

NONE

Study Groups

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no bridge device

After the ileostomy creation, no bridge device was placed.

Group Type EXPERIMENTAL

no bridge device

Intervention Type DEVICE

bridge device

A bridge device was placed after the stoma creation.

Group Type ACTIVE_COMPARATOR

bridge device

Intervention Type DEVICE

Interventions

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bridge device

Intervention Type DEVICE

no bridge device

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* colorectal disease (cancer; diverticulitis; Crohn disease; inflammatory bowel disease)
* requiring elective surgery with an ileostomy
* patient having given his consent before the enrollment

Exclusion Criteria

* patient with early closure of the stoma (within 10 days after the colorectal surgery)
* long term corticoids
* emergency surgery
* history of stoma in the side of the stoma placement planned for the study
* BMI \>50
* No signature of the consent to participate in the study
* Physical or mental state not allowing participation in the study
* Contraindication to surgery
* ASA classification (American Society of Anesthesiologists) IV-V or life expectancy \<48h
* Pregnancy or breastfeeding
* Patient under guardianship or guardianship or patient deprived of liberty by a judicial or administrative decision (in accordance with articles L1121-6 and L1121-8 of the Public Health Code)
* Minor patient
* Patient without social protection


* no anastomosis
* no ileostomy
* Spontaneous stomal retraction
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Centre Hospitalier de Beauvais

OTHER

Sponsor Role collaborator

Centre Hospitalier Universitaire, Amiens

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Charles SABBAGH

Role: PRINCIPAL_INVESTIGATOR

CHU Amiens Picardie

Locations

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Amiens Universitary Hospital

Amiens, , France

Site Status

Beauvais hospital

Beauvais, , France

Site Status

Chu Rouen

Rouen, , France

Site Status

Countries

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France

References

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Matthiessen P, Hallbook O, Rutegard J, Simert G, Sjodahl R. Defunctioning stoma reduces symptomatic anastomotic leakage after low anterior resection of the rectum for cancer: a randomized multicenter trial. Ann Surg. 2007 Aug;246(2):207-14. doi: 10.1097/SLA.0b013e3180603024.

Reference Type BACKGROUND
PMID: 17667498 (View on PubMed)

Sagap I, Remzi FH, Hammel JP, Fazio VW. Factors associated with failure in managing pelvic sepsis after ileal pouch-anal anastomosis (IPAA)--a multivariate analysis. Surgery. 2006 Oct;140(4):691-703; discussion 703-4. doi: 10.1016/j.surg.2006.07.015.

Reference Type BACKGROUND
PMID: 17011918 (View on PubMed)

Panis Y, Maggiori L, Caranhac G, Bretagnol F, Vicaut E. Mortality after colorectal cancer surgery: a French survey of more than 84,000 patients. Ann Surg. 2011 Nov;254(5):738-43; discussion 743-4. doi: 10.1097/SLA.0b013e31823604ac.

Reference Type BACKGROUND
PMID: 21997816 (View on PubMed)

Oberkofler CE, Rickenbacher A, Raptis DA, Lehmann K, Villiger P, Buchli C, Grieder F, Gelpke H, Decurtins M, Tempia-Caliera AA, Demartines N, Hahnloser D, Clavien PA, Breitenstein S. A multicenter randomized clinical trial of primary anastomosis or Hartmann's procedure for perforated left colonic diverticulitis with purulent or fecal peritonitis. Ann Surg. 2012 Nov;256(5):819-26; discussion 826-7. doi: 10.1097/SLA.0b013e31827324ba.

Reference Type BACKGROUND
PMID: 23095627 (View on PubMed)

Cottam J, Richards K, Hasted A, Blackman A. Results of a nationwide prospective audit of stoma complications within 3 weeks of surgery. Colorectal Dis. 2007 Nov;9(9):834-8. doi: 10.1111/j.1463-1318.2007.01213.x. Epub 2007 Aug 2.

Reference Type BACKGROUND
PMID: 17672873 (View on PubMed)

Sabbagh C, Mauvais F, Demouron M, Browet F, Tartar L, Hariz H, Bridoux V, Tuech JJ, Diouf M, Regimbeau JM. Is a bridge (rod) necessary for loop ileostomy? A phase II randomized control trial. Tech Coloproctol. 2025 Mar 25;29(1):87. doi: 10.1007/s10151-025-03132-4.

Reference Type DERIVED
PMID: 40131588 (View on PubMed)

Other Identifiers

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2015-A00620-49

Identifier Type: OTHER

Identifier Source: secondary_id

2015/29

Identifier Type: OTHER

Identifier Source: secondary_id

PI2015_843_0008

Identifier Type: -

Identifier Source: org_study_id

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